Feel Better With Pagosa Springs
Functional Medicine
Dr. Tabitha Zappone is here for you. No matter your chronic condition or mystery symptoms, she gets to the root cause of your issues. She works with each patient to help you reach your health goals and find relief.
We Specialize in Complex and Chronic Problems
Alpine Medical is Your Wellness Partner
Our care isn't reactive. We don't chase down symptoms after they appear. What sets us apart from other clinics in Pagosa Springs is our systems-based approach. What does this mean? It means we look at how the body is interconnected —metabolism, hormones, immune function, brain health, and lifestyle factors. Our patients build resilience, restore balance, and achieve lasting vitality rather than temporary relief!
We have had success addressing the following conditions.
Hormone Imbalance
Hormones are the body’s communication system, affecting energy, metabolism, sleep, mood, and weight. Functional medicine evaluates why hormones have fallen out of balance—often looking at stress physiology, gut health, nutrient status, and toxin exposure—so care can restore natural regulation rather than simply replacing hormones.
Thyroid
Your thyroid dysfunction isn't just a gland problem. We assess immune activity, nutrient deficiencies, gut integrity, and metabolic stressors that may be impairing thyroid signaling. By addressing these upstream factors, patients often experience improved energy, metabolism, and cognitive clarity.
Perimenopuase
This stage of life is not just about declining estrogen—it’s a whole-body recalibration involving adrenal resilience, inflammation, insulin sensitivity, and brain chemistry. Functional medicine helps smooth this shift through personalized nutrition, lifestyle strategies, and targeted therapies that support balance rather than forcing the body into extremes.
Depression & Anxiety
Mood is deeply connected to biology. Neurotransmitters depend on gut health, nutrient availability, inflammation levels, and hormonal balance. Functional care explores these connections to support brain chemistry naturally while helping regulate the stress response and improve emotional resilience.
Cognitive Decline
Memory changes and mental fatigue often reflect underlying metabolic and inflammatory processes affecting the brain. We evaluate vascular health, mitochondrial function, toxin load, sleep quality, and nutrient sufficiency to help protect and optimize cognitive performance over time.
Autoimmune Disease
Immune dysregulation frequently stems from gut permeability, chronic stress, infections, and environmental triggers. By identifying what is provoking the immune system, we aim to calm inflammatory responses and support immune tolerance.
Gut Issues
The gut plays a central role in immunity, metabolism, and even mood. We work to restore microbial balance, improve digestion, and repair intestinal integrity so the body can properly absorb nutrients and regulate inflammation.
And More
Do your symptoms fall outside a tidy diagnosis? That's OK! Dr. Zappone wants to hear your story, your concerns, and your hopes for a healthier life. Let's get started today.
Tell Us What's Going On
We Will Point You in the Right Direction
How we help
AdvancedFunctional Medicine Services
Alpine Medical provides comprehensive integrative care that combines conventional and holistic approaches to address your physical health, mental well-being, and lifestyle. Our services range from primary care and chronic condition management to personalized support through nutrition coaching, red light therapy, and personal training—all focused on helping you feel your best every day.
Functional Medicine
Experience root-cause care right here in Pagosa Springs. You don't need to travel hours for personalized wellness. Let's help you figure out a total health strategy that gets you feeling better than ever.
Health Coaching
At Alpine Medical in Pagosa Springs, health coaching is designed to help you transform scattered efforts into consistent, life-enhancing habits. Our functional medicine coaches partner with you to create practical, tailored plans that address the whole you—body, mind, and lifestyle.
Personal Training
Personal training at Alpine Medical offers customized fitness coaching tailored to each member’s health goals, guided by evidence-based practices and integrative support for long-term wellness.
Nutrition Coaching
Nutrition coaching at Alpine Medical offers personalized guidance to help you use food as medicine, supporting lasting health, energy, and disease prevention through sustainable lifestyle changes.
Red Light Therapy
Use gentle, low-level wavelengths of red and near-infrared light to reduce inflammation, support cellular healing, and promote healthier skin and tissue from the inside out.
IPL Laser
IPL Laser (Intense Pulsed Light) Therapy is a non-invasive skin treatment that uses high-intensity pulses of broad-spectrum light to target various skin concerns.
NuEra
At Alpine Medical in Pagosa Springs, NuEra Tight offers an innovative, non-invasive body contouring and skin tightening solution using advanced radiofrequency technology.
Primary Care
Alpine Medical offers comprehensive primary care through a membership-based model that emphasizes personalized attention, continuity, and a proactive approach to lifelong health and wellness.
Meet the doctor
Tabitha Zappone, FNP-C is here to help you find your solution!
Alpine Medical Specialty Practices in Pagosa Springs, Colorado, offers a unique approach to healthcare by combining integrative and functional medicine. Led by Family Nurse Practitioner Tabitha Zappone, FNP-C, the clinic emphasizes a partnership model where patients become members, fostering a collaborative journey toward optimal health and vitality.
Our Goal: "To deliver patient care the way it used to be” which means spending time getting to know her patients and providing them healthcare that is individualized, personal, holistic and respectful.
Tabitha also has a special interest in prevention and wellness as part of her approach to Primary Care. Over the years, she has found that by treating the individual from an inside-out and not outside-in approach many aliments can be improved and often reversed.
Eating for Health
Healthy & Delicious Recipes From Alpine Medical
Food is medicine and foundational to health. We want you to have a passionate relationship with food. Healthy eating can be indulgent and savory. Let us show you how. Each month we’ll share a new recipe for you to try.
Alpine Medical offers healthy, nutrient-rich recipes crafted to support members’ wellness goals and encourage balanced, wholesome eating. These recipes emphasize whole foods and integrative nutrition principles to help promote sustained energy, optimal health, and vibrant living.
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TESTIMONIALS
What Our Clients Have to Say
Discover what our members have to say—real stories and heartfelt testimonials that reflect the personalized care and lasting impact of their journey with Alpine Medical.
About Our Team
Get to Know Alpine Medical
Meet the dedicated team behind Alpine Medical—a group of compassionate, highly skilled healthcare professionals committed to providing personalized, functional care in Pagosa Springs.

Tabitha Zappone
Founder and Head Honcho of Healing
Medical Provider, FNP-C
Tabitha Zappone, founder of Alpine Medical, blends traditional healing wisdom from her Shoshone roots with clinical expertise gained in urban hospitals and remote Native communities. She established Alpine Medical in 2016 to offer holistic, relationship-based care focused on prevention and reversing chronic illness.
Ana Cecilia Sala
Designated memory keeper and unofficial storyteller of the crew
Behavioral Health Consultant, PsyD, MSc
Ana Cecilia Sala is a bilingual clinical psychologist from Ponce, Puerto Rico. She earned her doctoral degree in 2010 from the Ponce School of Medicine.
Kate Arrighetti
The Wildcard
Outreach and Operations Alchemist
Kate Arrighetti supports Alpine Medical as a clinical assistant and operations manager, bringing deep ties to the Pagosa Springs community. With degrees in Anthropology, Archaeology, and Beverage Management, she enjoys travel, outdoor life, and caring for her mini-homestead.
Phil Zappone
Chief Fitness Officer (CFO) and Superdad
Physical Training, Medical Provider, FNP-C
Phillip Zappone is a board-certified nurse practitioner and personal trainer who focuses on empowering patients through lifestyle-based self-care. With nearly 30 years in medicine, he combines his passion for health with a love for the outdoors, cooking, and family.BLOG
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Welcome to the Alpine Medical Blog—a space dedicated to supporting your journey toward vibrant health and well-being. Here, you'll find expert insights, practical tips, and inspiring stories on topics ranging from integrative medicine and chronic condition support to nutrition, mental health, fitness, and lifestyle optimization. Whether you're a current member or simply exploring new ways to care for yourself and your family, our blog is here to inform, empower, and encourage you every step of the way.
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